Organization
BLUE FRONT DRUG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ASHBY PHARM.D. (PHARMACIST/OWNER)
(931) 967-2251
Entity
Organization
Contact information
Practice address
107 1ST AVE NW, WINCHESTER, TN 37398-1643
(931) 967-2251
(931) 967-6646
Mailing address
107 1ST AVE NW, WINCHESTER, TN 37398-1643
(931) 967-2251
(931) 967-6646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056473
—
TN
Enumeration date
10/28/2019
Last updated
03/14/2022
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